The topic is about recovering from "Barbie butt" surgery, which involves a proctectomy and perineal closure. This particular surgery can be quite challenging, and the recovery process varies for each person. Here are some insights and advice shared by others who have gone through similar experiences:

1. Healing timeline and sitting comfort:
- It can take several months before sitting upright feels normal. Some people couldn't sit fully for about six months, while others took a few months, with full normality taking up to five years.
- Gradually increasing sitting time on a pressure or gel cushion is commonly recommended.
- Patience and realistic expectations are important, as improvement tends to be slow but steady.

2. Common sensations:
- A persistent feeling of something being "wedged" in the area where the cheeks or flap have been sewn together is typical early on. Most people get used to this sensation over time.

3. Hygiene and skin care:
- It's crucial to keep the perineal area very clean, especially in hot weather, to prevent irritation or infection.
- Some people experience ongoing drainage, requiring gauze changes several times a day, but this usually decreases as healing progresses.

4. Surgical techniques and involvement of plastic surgeons:
- There are two main closure methods: a simple mid-line closure and plastic-surgery techniques like rotational or advancement skin flaps, often used for larger defects or when tissue quality is poor.
- Having both a colorectal and a plastic surgeon involved is becoming more common to minimize complications.

5. Miscellaneous coping tips:
- Some people use daily enemas to manage uncontrolled mucus drainage before definitive surgery.
- Knowing that others are on similar recovery timelines can provide emotional reassurance and encouragement.